Article

OBJECTIVE: To examine the hypothesis that the influence of physical activity
capacity on participation is mediated through activity performance. DESIGN:
Secondary analysis of a prospective cross-sectional study sample. SETTING:
Regional pediatric specialty care hospital. PARTICIPANTS: Children (N=128; 59%
boys; age range, 2-9y) with cerebral palsy with Gross Motor Function
Classification System levels I to III; 49% had hemiplegia, and 72% had
spasticity. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Activity
capacity was measured with the Gross Motor Function Measure-66, performance was
measured with the Activities Scale for Kids, and participation was measured with
the Assessment of Life Habits. Children's Assessment of Participation and
Enjoyment and the Assessment of Preschool Children's Participation assessed
diversity participation. Regression equations and Sobel z test were used to
examine the mediated effect via performance. RESULTS: Physical activity
performance mediates 74.9% (beta=.83, P<.001) of the effect of activity capacity
on total participation levels and 52.8% (beta=.47, P=.001) of the effect of
capacity on diversity participation. CONCLUSIONS: The relation between what an
ambulatory child with cerebral palsy is able to perform in a clinical setting and
their participation in life is significantly mediated by what they actually do
motorically in day-to-day life. Results suggest that interventions focusing on
improving what they actually do every day, regardless of their capacity to
perform (what they can do when tested), may positively influence participation.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS